| Regimental number | 17301 |
| Place of birth | Collingwood Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Bondi, New South Wales |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs D E Scully, 1 Jackaman Street, Bondi, New South Wales |
| Enlistment date | 13 April 1916 |
| Date of enlistment from Nominal Roll | 7 April 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, March 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 10 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Field Ambulance |
| Fate | Returned to Australia 15 April 1918 |
